Individual provider Active NPI

Steeve Yamadjako, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lynn, MA
National Provider Identifier
1316239148
Registry record updated Oct 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2379 Issued in MA
Practice address
98 Nahant St
Lynn, MA 01902-3315
Phone
(781) 596-0703
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2379 MA Primary

Addresses

Primary practice location

98 Nahant St
Lynn, MA 01902-3315

Mailing address

127 Old Short Hills Rd Apt 133
West Orange, NJ 07052-1057
Phone (781) 244-7170

Other practice location 1

146 Hillcrest Rd
Watchung, NJ 07069-6053
Phone (908) 242-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110922000274 MA Practitioner - Podiatry 4688845613 Reassigns benefits to 1 organization
I20220812002381 NJ Practitioner - Podiatry 4688845613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Foot Care Services LLCGroup PAC ID 1850587528, 15 clinicians

Practice addresses (Care Compare)

146 Hillcrest Rd
Watchung, NJ 07069-6053
Phone (877) 417-3668

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue510
Removal of skin lesions24
Removal of nail tissue2914
Removal or shaving of skin growth1407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2379MAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Foot Care Services LLC CurrentSince Sep 1, 2022 Accepting new patients
Sanphy Podiatry Group, Inc. Foot & Ankle Surgery CurrentSince Aug 15, 2011 Accepting new patients
Saint Vincent Radiological Associates Inc PastSince Aug 15, 2011 Accepting new patients

Locations

98 Nahant St
Ofc
Lynn, MA 01902

Interoperability endpoints

  • Direct secure messaging: yamadjako.steeve.sanphy@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1316239148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 OLD SHORT HILLS RD APT 133",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521057",
            "telephone_number": "781-244-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 NAHANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023315",
            "telephone_number": "781-596-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Hillcrest Rd",
            "address_purpose": "LOCATION",
            "city": "Watchung",
            "state": "NJ",
            "postal_code": "070696053",
            "country_code": "US",
            "telephone_number": "908-242-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMADJAKO",
        "first_name": "STEEVE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.